Credentialing Specialist III

Cisive

. Execute credentialing and licensing research, data validation, and compliance checks supporting LicenseManager Pro and SanctionCheck operations .

Posted 10/27/2026full-timeRemote • Maryland • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in credentialing and compliance research, with a strong focus on data accuracy and regulatory standards. Proficient in Microsoft Office Suite and case management systems, while effectively mentoring peers and supporting quality assurance initiatives.

Highest-signal resume keywords

Credentialing ResearchCompliance StandardsData ValidationMicrosoft Office SuiteBackground Screening

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryDocumentation ReviewCase ManagementResearch SkillsRegulatory Compliance

Soft Skills

Attention to DetailWritten CommunicationVerbal CommunicationMultitaskingProfessionalism

Tools & Technologies

LicenseManager ProSanctionCheckCase Management Systems

Industry Keywords

CredentialingLicensingQuality AssuranceProcess ImprovementBackground Screening

About the role

Key responsibilities & impact

Execute credentialing and licensing research, data validation, and compliance checks supporting LicenseManager Pro and SanctionCheck operations
Perform data entry across multiple units and cross-train in various processes
Review and analyze documentation from vendors, regulators, and professional boards
Research, verify, and input credentialing/licensure information according to client requirements
Apply compliance standards and regulatory rules to ensure data accuracy
Monitor and track case progress, escalating complex issues when appropriate
Document findings and maintain detailed case notes for leadership review
Support quality assurance through structured training and performance standards
For Level III, investigate and resolve complex or unusual cases independently
Mentor Specialists I and II and support their training and development
Partner with Supervisors and Quality to identify process gaps and recommend improvements
Provide feedback on workflow efficiency and case-handling best practices
Serve as a peer leader modeling consistency and professionalism

Requirements

What you’ll need

High school diploma or equivalent required
Associate or bachelor’s degree preferred for specific levels
Strong attention to detail and ability to follow structured processes
Ability to navigate the internet for research activities
Experience in background screening, credentialing, or compliance research preferred
Proficiency with Microsoft Office Suite and case management systems
Strong written and verbal communication skills
Ability to multitask, meet deadlines, and work in a fast-paced environment
Progression through Levels II–IV requires demonstrated proficiency, initiative, and peer support contributions
For candidates hired into Global Shared Services Philippines, onsite work in Quezon City with a shifting schedule is required
Ability to communicate clearly and exchange accurate information constantly
Ability to occasionally move objects up to 10 lbs

Benefits

Comp & perks

Full-time employment
Remote work option
General office equipment provided/used as part of the role